Litigation


DOJ Takes First Action Against COVID-19 Fraud
March 25, 2020 | Marc S. Ullman | Fraud and Abuse | Litigation
On March 22, the U.S. Department of Justice (DOJ) announced its first action against COVID-19 fraudsters: a civil complaint seeking an injunction ordering the website coronavirusmedicalkit.com to shut down while an investigation into the site’s operators continues. A more detailed discussion of the DOJ’s action may be found here. …
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FTC and FDA Take Joint Action to Stop COVID-19 Fraud
March 16, 2020 | Marc S. Ullman | FDA | Fraud and Abuse | Legislation and Public Policy | Litigation
On March 6, the U.S. Food and Drug Administration (FDA) and Federal Trade Commission (FTC) issued joint Warning Letters to seven companies calling for them to cease marketing products appearing to violate federal law by making deceptive or scientifically unsupported claims about their ability to treat Coronavirus (COVID-19). The companies targeted, (1) Vital Silver, (2) Quinessence …
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Second Circuit Cases May Affect Insurers’ Ability To Fight No-Fault Fraud
March 9, 2020 | Rivkin Rounds Staff | Fraud and Abuse | Litigation | Private Insurers
Rivkin Radler’s Evan Krinick authored a March 6 article in the New York Law Journal, “Second Circuit Cases May Affect Insurers’ Ability To Fight No-Fault Fraud,” that discussed two pending cases relating to New York no-fault insurance carriers. Both cases involve a healthcare provider that filed hundreds of new arbitration proceedings or collection lawsuits against …
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Court Throws Out Fee Policies for Medical Record Sharing
February 24, 2020 | Rivkin Rounds Staff | HIPAA | Legislation and Public Policy | Litigation
A recent article in Part B News, “Court throws out fee policies for medical record sharing; watch for new rules,” discussed the recent court decision in Ciox Health, LLC v. Alez Azar, et al., which led to the U.S. Department of Health and Human Services modifying its guidance regarding charging fees for access to patient …
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OCR Modifies HIPAA Guidance for Sending PHI to Third Parties
February 12, 2020 | Ada Kozicz | Electronic Health Records | HIPAA | Legislation and Public Policy | Litigation
In response to a recent federal court decision, the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) has modified its guidance regarding certain obligations imposed on covered entities when responding to individuals’ requests to send their protected health information (PHI) to third parties. In short, covered entities are no longer required …
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Mass. Court: EHR Software Not Discriminatory
February 6, 2020 | Eric D. Fader | Electronic Health Records | Employer/Employee | Hospitals | Litigation
On January 31, a federal court in Massachusetts dismissed a lawsuit brought by the National Federation of the Blind (NFB) against Epic Systems Inc., that claimed that Epic’s electronic health records (EHR) software discriminates against blind hospital employees. The NFB had sued Epic on behalf of NFB members who allegedly suffered adverse employment actions because …
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Medical Equipment Co. to Pay $37.5M to Settle Kickback Claims
January 17, 2020 | Eric D. Fader | False Claims Act | Fraud and Abuse | Litigation | Medical Devices and Wearables | Medicare and Medicaid
The U. S. Department of Justice (DOJ) announced on January 15 that ResMed Corp., a San Diego-based manufacturer of durable medical equipment, will pay $37.5 million to the federal government to settle five qui tam (whistleblower) cases under the False Claims Act (FCA) alleging that ResMed paid kickbacks to DME suppliers, sleep labs and other …
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DOJ Reports $3 Billion in 2019 False Claims Act Recoveries
January 14, 2020 | Eric D. Fader | False Claims Act | Fraud and Abuse | Hospitals | Litigation | Medical Devices and Wearables | Medicare and Medicaid | Pharmaceuticals
The U.S. Department of Justice (DOJ) announced last week that in the fiscal year ended September 30, 2019, it obtained more than $3 billion in total recoveries from civil cases brought under the False Claims Act (FCA). The total, a slight increase from the $2.9 billion recovered in the prior fiscal year, included both settlements …
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Alabama Health System Reeling After Ransomware Attack
January 6, 2020 | Margarita Christoforou | Cybersecurity | Electronic Health Records | HIPAA | Hospitals | Litigation
Alabama’s DCH Health System is facing a federal lawsuit filed by some former patients who allege it was negligent in discovering and responding to a ransomware attack on its computer system. In addition to negligence, the complaint accuses DCH of invasion of privacy, breach of contract and breach of fiduciary duty, among other things. The …
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The Broad Reach of the Medicare Fraud Strike Forces
January 3, 2020 | Rivkin Rounds Staff | False Claims Act | Fraud and Abuse | Litigation | Medical Devices and Wearables | Medicare and Medicaid | Pharmaceuticals | Telehealth
Rivkin Radler’s Evan Krinick authored an article for the New York Law Journal, “The Broad Reach of the Medicare Fraud Strike Forces.” The article discusses recent strike force actions in New York and New Jersey that targeted a variety of healthcare fraud schemes.   …
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